Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,456.00 / $4,192.00 / $13,200.00	Facility		$1,456.00	$4,192.00	$13,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,298.96 / $1,509.75 / $1,515.38	Professional		$1,298.96	$1,509.75	$1,515.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,803.04 / $13,768.47 / $21,595.07	Facility		$8,803.04	$13,768.47	$21,595.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,345.05 / $1,688.61 / $1,846.95	Professional		$1,345.05	$1,688.61	$1,846.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $900.00	Facility		$900.00	$900.00	$900.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,498.57 / $1,880.83 / $2,356.26	Professional		$1,498.57	$1,880.83	$2,356.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,426.32 / $2,080.90 / $8,753.15	Facility		$1,426.32	$2,080.90	$8,753.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,255.88 / $1,625.26 / $15,789.51	Professional		$1,255.88	$1,625.26	$15,789.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,481.00 / $5,910.00 / $9,232.95	Facility		$1,481.00	$5,910.00	$9,232.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,182.01 / $1,521.70 / $2,122.77	Professional		$1,182.01	$1,521.70	$2,122.77